International Pharmaceutical

Students Federation
66 years: 1949 - 2015

IPSF Development Fund 2015: Event Grant

Guidelines for Development Fund Applicants
Please read carefully before completing the application form
1. Background
The main goal of the Development Fund is to give each and every pharmacy student an equal opportunity to fully
participate in IPSF activities. This opportunity is also intended to help promote IPSF within their Schools of
Pharmacy and countries. The Development Fund was initially created with the aim of supporting students who
were unable to attend an IPSF event because of financial reasons. Currently the Development Fund may also be
used to pay the IPSF Annual Membership Fee of organizations from low or lower middle income countries (as
defined by the World Bank) and developing nations (as defined by the United Nations), to financially support IPSF
activities undertaken by members and participation in IPSF events and to award Student Exchange Program
Grants.

This is the official application form for participation in the following IPSF events during 2015:
1. The 14th IPSF Asia Pacific Pharmaceutical Symposium, held in Pattaya, Thailand
August 21-August 27 2015 - http://apps.ipsf.org/
2. The 9th Pan American Regional Symposium In San Luis, Argentina, June 16 th June 22nd
http://paro.ipsf.org/pars2015/
3. The 4th IPSF African Pharmaceutical Symposium (AFPS) in Rwanda, 9 th July 2015,
http://www.afps2015.org/
4. The 61st IPSF World Congress, Hyderabad, India, July 30- August 9 2015,
http://www.ipsf2015.org/
Completing this application form means that you have decided to embrace this opportunity and play an
active role in IPSF, locally, nationally, and internationally. Congratulations!
However, it is essential that applicants understand this grant is given to a student to allow him/her
promote IPSF in their home country on returning from an IPSF event not as a free holiday.
These guidelines were designed to ensure that potential applicants are fully aware of the selection
process and also accept the expectations, restrictions and consequences of an application .
The grant is awarded to attend the IPSF Annual Congress or an IPSF Regional Event as stated above
and may cover part or full travel expenses (bus, train or flight tickets) from the applicants home
country to the event and/or the event registration fee.
2. Completion of the application form
Please ensure the application form is completed accurately with any other information relevant to the
selection process being added to the form. Every section must be completed for the application form
to be considered valid. Applicants must submit an electronic version of the application form prior to the
closing date (1st of May 2015) before any applications will be considered complete. The electronic
version should be emailed directly to the Development Fund Coordinator (df@ipsf.org).
3. Who is involved in the DF grant selection procedure?

IPSF Secretariat: Andries Bickerweg 5, P.O. Box 84200, 2508 AE The

Hague, The Netherlands.
Tel: +31-70-302 19 92 - Fax: +31-70-302 19 99 - Email: ipsf@ipsf.org -

International Pharmaceutical
Students Federation
66 years: 1949 - 2015
3.1. The decision-making committee, who will consider valid applications, is the Development
Fund Committee which consists of three member representatives from three different countries, the
IPSF Treasurer and the Development Fund Coordinator, who chairs the committee.
This committee corresponds via email and discusses issues relating to the selection process and ways
to optimize the impact of the Development Fund grants at local and international levels.
Successful applicants will be notified by the Development Fund Committee before the 1st June
2015.
3.2. The applicant must be currently studying for their pharmacy undergraduate degree (first
pharmacy degree). An applicant may be an IPSF member through an IPSF Member Organization
(Full Member or Member in Association) or as an Individual Member.
Selected or not, an applicant is expected to provide accurate information and add any additional
information that would be relevant in the consideration of the application form.
If selected to receive the grant, a recipient is expected to:
Take an active part in IPSF activities and projects during and after the IPSF event attended.
If possible, deliver a presentation based on pharmacy practice and studies in their home
country during the IPSF event attended.
Produce a report addressed to the Development Fund Committee and to the IPSF Executive
detailing a review of the experience; what has been learnt and which IPSF projects/activities
are planned to be implemented in their country and why.
o This report must be sent no later than 3 months following the IPSF event attended.
Based on the report recipients may be required to write an article about pharmacy in their
country and/or the experience gained from attending the respective IPSF event, to be
published in the IPSF News Bulletin, IPSF Newsletter or on the IPSF website.
Keep in regular contact with the new IPSF Executive Committee after the congress to
maintain correspondence regarding what has been done in their country in order to maximize
the impact and benefits the experience will provide to other pharmacy students in that country.
4. Grant coverage and criteria
The awarded grant will cover only part of the expenses: either the event registration fee or the
travel expenses (bus, train or flight tickets and visa costs), but not both. In the event of the
actual costs incurred being less than the awarded grant then only the amount of actual costs will be
paid.
The grant will be preferably paid by bank transfer after participating in the event and submitting
the required documents. In special cases the grant may also be paid to the recipient at the event by
cash.
The total number of grants awarded will be decided after the deadline for receipt of applications and
will be dependent on the total number of quality applications received and on the grant budget
available.
Priority will be given to:
i.
applicants from low and lower middle income countries (as defined by the World Bank) or from
developing countries (as defined by the United Nations);
ii.
those who have served IPSF as a Contact Person, Student Exchange Officer, subcommittee
member or in some other way contributed to IPSF Projects;
iii.
for regional symposia, applicants who are from the same region;
iv.
students in last year of study (higher year of study better)

IPSF Secretariat: Andries Bickerweg 5, P.O. Box 84200, 2508 AE The

Hague, The Netherlands.
Tel: +31-70-302 19 92 - Fax: +31-70-302 19 99 - Email: ipsf@ipsf.org -

International Pharmaceutical
Students Federation
66 years: 1949 - 2015
v.

those who will be attending an IPSF event for the first time and/or are the only representatives
from their countries.

We will also look at expenses of the trip and how reasonable they are, motivation letter and if other
sponsors were approached.
Representatives of organizations who will apply for IPSF membership at the World Congress
may also apply for this grant.
5. Issues to be taken in the consideration
5.1. Visas: It is essential applicants establish whether they require a visa to attend the respective
IPSF event and begin the necessary steps in order to be ready to apply quickly, in the event that the
application is successful and a grant is awarded.
No grant will be given to an applicant before obtaining the visa(s) required traveling to the
country where the IPSF event will occur.
Sadly, this issue often prevents recipients from actually attending the IPSF event. So please, be
prepared if a visa is required and collect any relevant documentation and information needed for a
visa request in advance to accelerate the procedure within the Embassy.
5.2. Sponsors: Applicants should look for sponsorship as soon as they start thinking of going to the
IPSF event. National, local and private bodies often have a budget to support students with these
kinds of initiatives. The Development Fund exists to help but rarely gives a grant that covers all of
the expenses involved. It is advised that initial steps with potential sponsors are begun
immediately as it often takes a long time period before an answer is received - one might even be
surprised and obtain more sponsorship than was originally thought!
6. Situations and Consequences
To avoid any misunderstanding of the procedure, misuse of the grant or reduction in the grants
awarded each year, this section has been added to dissuade any potential applicant from hiding any
relevant information or from providing incomplete or false information on their application form.
It is an applicants responsibility to inform the Development Fund Coordinator of any changes in the
information stated in the application form as soon as the applicant is aware of any new information. It
is recommended that all applicants retain a copy of their application form to remember what has been
stated in the application. If any changes of circumstances occur after submitting the application form
please inform the Development Fund Coordinator as soon as possible. Any applicant awarded a DF
grant and later found to have misused funds will not be eligible to receive any DF Grant in the future.
If the grant has been paid before the misuse has been identified then the applicant must pay the grant
fully or partly back to the IPSF Development Fund as determined by the Development Fund
Committee and IPSF Executive.
The Development Fund Committee reserves the right to withdraw or reduce any grant given to
an applicant in the event of any of the following situations arising:

More than one student from the same country and/or organization as a DF Grant recipient
attends or registers to attend the same IPSF event as the recipient without prior
notification to the Development Fund Coordinator.
Information relevant to the selection process was hidden from the Development Fund
Committee by the applicant.

IPSF Secretariat: Andries Bickerweg 5, P.O. Box 84200, 2508 AE The

Hague, The Netherlands.
Tel: +31-70-302 19 92 - Fax: +31-70-302 19 99 - Email: ipsf@ipsf.org -

International Pharmaceutical
Students Federation
66 years: 1949 - 2015

Information stated by the applicant is later identified as being inaccurate or false and the
applicant failed to notify the Development Fund Committee about the necessary changes
required to the application.
New information concerning the financial situation of the applicant (and the relevant
member association, when applicable) was not provided (such as a new sponsor, more
money available than was originally stated, bigger amount of funds allocated by the
association to send the applicant to attend the event etc.).
Failure to submit the required documentation and/or receipts or submission of incomplete
documentation.
Other situations at the discretion of the Development Fund Committee.

7. Declaration:
I declare that:
I have read these guidelines and both understand their meaning and respect them.
I accept the consequences undertaken by the Development Fund Committee if I fail to respect these
rules.
Signed: ____________________________
Date: ______________________________

IPSF Secretariat: Andries Bickerweg 5, P.O. Box 84200, 2508 AE The

Hague, The Netherlands.
Tel: +31-70-302 19 92 - Fax: +31-70-302 19 99 - Email: ipsf@ipsf.org -

International Pharmaceutical
Students Federation
66 years: 1949 - 2015

IPSF Development Fund Event Grant: Application form 2015

Every Section of this application form must be completed in order to be valid. An application will only
be considered if sections A, B, C and D have been completed, and the declarations electronically
signed by inserting the relevant name.
Please complete the application form as a Microsoft Word Document and return this electronically via
email to the Development Fund Coordinator at df@ipsf.org before the 1st of May 2015. When
returning your application, please rename the file to include the event you wish to attend and your
name, for example: IPSF_DF_Event_Grant_2015_Application_Form_IPSFWC2015_Tassilo_Vogel
Application for a grant to enable attendance at:
(Please delete or tick as appropriate)
1. The 14th IPSF Asia Pacific Pharmaceutical Symposium, held in Pattaya, Thailand
August 21-August 27 2015 - http://apps.ipsf.org/
2. The 9th Pan American Regional Symposium In San Luis, Argentina, June 16th June 22nd
http://paro.ipsf.org/pars2015/
3. The 4th IPSF African Pharmaceutical Symposium (AFPS) in Rwanda, 9th July 2015,
http://www.afps2015.org/
4. The 61st IPSF World Congress, Hyderabad, India, July 30- August 9 2015,
http://www.ipsf2015.org/

SECTION A:
PERSONAL DETAILS:
Full Name: (Mr/Mrs/Miss): ___________________________________________________
Full Address: _____________________________________________________________
Country: _________________________________________
Nationality: _______________________________________
Telephone Number: ________________________________
Fax Number: ______________________________________
Email: ____________________________________________
Current Passport number: ____________________________
Valid until: ________________________________________
Visa Requirements: _________________________________
Cost of the Visa: (Euros) ______________________________
Time required obtaining Visa: __________________________
Contact information of the relevant embassy in your country: _________________________
Contact person in the embassy you have spoken to and title: _________________________

IPSF Secretariat: Andries Bickerweg 5, P.O. Box 84200, 2508 AE The

Hague, The Netherlands.
Tel: +31-70-302 19 92 - Fax: +31-70-302 19 99 - Email: ipsf@ipsf.org -

International Pharmaceutical
Students Federation
66 years: 1949 - 2015

STUDY DETAILS:
Name of School of Pharmacy at which you are studying:
_______________________________________________________________________
Address: _______________________________________________________________________
Qualification you will receive: _______________________________________________________
Total length of course: _____________________________________________________________
Date of graduation (expected):
_______________________________________________________________
INVOLVEMENT WITHIN YOUR NATIONAL ASSOCIATION AND WITHIN IPSF:
(Maximum 500 characters)
FINANCIAL DETAILS:
Your national currency: ________________________________________
Exchange rate on 1 Euro () = ____________________
(Exchange rate will be completed by the IPSF Treasurer, please do not fill in)
Income received during the previous 12 months:
- Personal: __________________________________________________
- Family Allowance: ___________________________________________
- Grants (for example: Scholarship /Governmental Support):
- _________________________________________________________
- Other sources: _____________________________________________
- Additional income expected in the next 12 months: _________________
- Living expenses (approximately) per year: ________________________
(Living expenses are considered as necessary costs for living that are paid by the applicant personally. For example food,
accommodation expenses (flat rent), electricity fees and study costs (books etc.) but not unnecessary costs like holidays)

Estimated travel and visa expenses to attend the IPSF event

(state for return journey): ________________

(Please complete the below table as appropriate detailing your estimated travel route and the corresponding costs. Please note
that only one row will need to be completed for a direct travel option. However for a travel plan which involves a number of
modes of transport each leg of the journey should be listed on a separate row. For example: Row 1: Flight Amsterdam, The
Netherland to Cairo, Egypt; Row 2: Bus Cairo, Egypt to Hurghada, Egypt etc.)

IPSF Secretariat: Andries Bickerweg 5, P.O. Box 84200, 2508 AE The

Hague, The Netherlands.
Tel: +31-70-302 19 92 - Fax: +31-70-302 19 99 - Email: ipsf@ipsf.org -

International Pharmaceutical
Students Federation
66 years: 1949 - 2015
Destination(each leg
of the journey on a
separate row)

Estimated Costs
(including return
travel)

Route and means of

Transportation

Source of the information

(Website/travel agency etc)
If you have an electronic
document please attach it

SPONSORSHIP DETAILS:
State the names of any bodies in your country which you have already contacted for sponsorship,
when you contacted them and the actual or possible results of the request (s):

IPSF can give advice about approaching sponsors in your home country. Applicants are expected to
try and find sponsorship from other bodies apart from the IPSF Development Fund, and to explain why
if this has not been done.

SECTION B:
MOTIVATION:
In this section applicants should detail their reasons for applying for the grant; specifically
their reasons for attending the respective IPSF event, and also describe how attendance at
such an event would benefit other pharmacy students in their home country. Please also state
any additional information that may be relevant to the selection process, especially details
relevant to the Priority criteria stated in section 4.
As this section is seriously considered during the selection process, applicants are reminded of the
importance of stating clear and realistic reasons for their participation, with a focus on the personal,
national and international impact an IPSF event experience may create. The length of this motivation
should be no longer than 400 words.
_________________________________________________________________________

IPSF Secretariat: Andries Bickerweg 5, P.O. Box 84200, 2508 AE The

Hague, The Netherlands.
Tel: +31-70-302 19 92 - Fax: +31-70-302 19 99 - Email: ipsf@ipsf.org -

International Pharmaceutical
Students Federation
66 years: 1949 - 2015

I declare that:
1. The information stated is to the best of my knowledge, complete and accurate.
2. I will notify the Development Fund Coordinator of any changes in the information stated above
without delay by email at df@ipsf.org.
3. I will make every effort to stimulate active interest in IPSF within my country.
4. I accept the fact that, in the case of my application being successful, the Development Fund
Committee reserve the right to withdraw the grant if any of the situations stated in the section
Situations and consequences of the above guidelines occurs.
5. If this application is successful, I will respect the duties of the applicant stated in the
guidelines written at the beginning of the application form (as per Section 3.2.)

Signed: ____________________________ Date:__________________________________

SECTION C:
STUDENT ASSOCIATION DETAILS:
(To be completed by the President and Contact Person)

Name of your national association: ______________________________________________

Address of your association: ___________________________________________________
Name of the IPSF Contact Person: ______________________________________________
Tick or delete the following responses as appropriate: _______________________________
-

Can this association contribute to your expenses?

If yes, how much? __________________________

Are you an Official Delegate?

Are any other persons (graduated, student, others) from your country attending?
Yes No

Yes

Yes

No

No

If yes, are they

a) Students from your local student association?
b) Members of your national association?

Yes
Yes

No
No

Names and positions of attending persons: _______________________________________

IPSF Secretariat: Andries Bickerweg 5, P.O. Box 84200, 2508 AE The

Hague, The Netherlands.
Tel: +31-70-302 19 92 - Fax: +31-70-302 19 99 - Email: ipsf@ipsf.org -

International Pharmaceutical
Students Federation
66 years: 1949 - 2015

We declare that:
1. The information stated above in Section C is to the best of our knowledge complete and accurate.
2. In the event of any changes in the information stated above, we will notify the Development Fund
Coordinator, without delay to prevent the potential withdrawal of the grant (if the application is
successful).
For the application to be valid, the most recent audited balance sheet of the association must be
submitted with the application.
Local students associations President:
Signed: _____________________________________
Email address: ________________________________
National pharmacy students associations President:
Signed: _____________________________________
Email address: ________________________________
IPSF Contact Person:
Signed: ____________________________________
Email address: _______________________________

IPSF Secretariat: Andries Bickerweg 5, P.O. Box 84200, 2508 AE The

Hague, The Netherlands.
Tel: +31-70-302 19 92 - Fax: +31-70-302 19 99 - Email: ipsf@ipsf.org -

International Pharmaceutical
Students Federation
66 years: 1949 - 2015

SECTION D:
LETTER OF SUPPORT FROM SCHOOL OF PHARMACY:
To be completed by the Head of School or Dean (preferably) or Professor of the Department of
Pharmacy at which the applicant is studying. The Head of School or Dean should confirm that the
statements made by the applicant in Sections A and B of this form are complete and accurate
therefore they must have seen a copy of the completed application form. The letter of support should
be attached as a separate Word Document.

IPSF Secretariat: Andries Bickerweg 5, P.O. Box 84200, 2508 AE The

Hague, The Netherlands.
Tel: +31-70-302 19 92 - Fax: +31-70-302 19 99 - Email: ipsf@ipsf.org -